# KAISER PERMANENTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568635498
- **Authorized official:** MS. MARY ANNE NAGY (LPN)
- **Authorized official phone:** (720) 536-7768

## Contact information

- **Practice address:** 280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
- **Practice address phone:** (720) 536-7768
- **Mailing address:** 280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 22809 | CO | Yes |

## Other

- **Enumeration date:** 04/11/2008
- **Last updated:** 04/11/2008
